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Individual

PATRICK SHAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
175 LANGLEY DR STE C1, LAWRENCEVILLE, GA 30045-6952
(770) 381-5974
Mailing address
3823 PRINCESS CT, LAWRENCEVILLE, GA 30044-2929

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1642
GA

Other

Enumeration date
12/22/2006
Last updated
07/08/2007
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